Provider Demographics
NPI:1407879604
Name:GALARZA-RIOS, XIMENA (MD)
Entity Type:Individual
Prefix:
First Name:XIMENA
Middle Name:
Last Name:GALARZA-RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XIMENA
Other - Middle Name:PATRICIA
Other - Last Name:GALARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3900 LAS ESTANCIAS CT SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-5513
Mailing Address - Country:US
Mailing Address - Phone:505-727-4200
Mailing Address - Fax:505-727-4249
Practice Address - Street 1:3900 LAS ESTANCIAS CT SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-5513
Practice Address - Country:US
Practice Address - Phone:505-727-4200
Practice Address - Fax:505-727-4249
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2003-0672207Q00000X
NMMD2003-0672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM32804580Medicaid
NM344409603Medicare ID - Type Unspecified
NMH43719Medicare UPIN